11 results on '"recien nacido"'
Search Results
2. A multi-country, cross-sectional observational study of retinopathy of prematurity in Latin America and the Caribbean.
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Arnesen, Lauren, Durán, Pablo, Silva, Juan, and Brumana, Luisa
- Abstract
Objective. To consolidate available information from the Latin American and Caribbean (LAC) region on 1) national incidence of retinopathy of prematurity (ROP) and 2) national-level government inputs on ROP (existing national policies, guidelines, programs, and financing for ROP prevention, detection, and treatment, including ROP screening) in 2014. Methods. In March and April 2015, a multi-country online survey was distributed to 56 medical and public health experts working on ROP in LAC countries. Respondents were instructed to provide quantitative and qualitative information representative of the national situation in 2014 for ROP incidence and national-level government inputs (existing national policies, guidelines, programs, and financing for ROP prevention, detection, and treatment, including ROP screening) in their country. Results. The survey was completed in full by a total of 11 experts from 10 LAC countries (Argentina, Brazil, Colombia, Costa Rica, Cuba, Dominican Republic, El Salvador, Mexico, Nicaragua, and Panama). According to the survey results, six countries had a national policy that includes ROP prevention, detection, and treatment, with screening and treatment covered by national/federal funding. Eight countries had national guidelines for ROP. Four countries had legislation mandating eye examination of preterm infants. Most countries had Level 3 and 4 neonatal intensive care units with ROP programs in public sector health care facilities. Five countries had a data collection or monitoring system to track the number of newborn babies screened for ROP within hospital settings. On average, countries with three or four of the above-mentioned ROP elements screened 95% of eligible newborns in 2014, while those with only one or two of the ROP elements screened 35% of eligible newborns. Conclusions. National government buy-in and involvement in ROP screening and treatment legislation is related to a higher proportion of eligible premature newborns being screened and treated for ROP. Further research should include more countries and assess national-level engagement with ROP, including ROP screening and treatment. [ABSTRACT FROM AUTHOR] more...
- Published
- 2016
Catalog
3. Informe especial. Consenso sobre el abordaje diagnóstico y terapéutico del dolor y el estrés en el recién nacido.
- Author
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Lemus-Varela, María de Lourdes, Sola, Augusto, Golombek, Sergio, Baquero, Hernando, Borbonet, Daniel, Dávila-Aliaga, Carmen, Del Moral, Teresa, Lara-Flores, Gabriel, Lima-Rogel, María Victoria, Neira-Safi, Freddy, Natta, Diego, Oviedo-Barrantes, Ada, and Rodríguez, Susana more...
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TREATMENT of psychological stress , *PAIN management , *CONFERENCES & conventions , *INFANT care , *NEONATAL intensive care , *PAIN , *PSYCHOLOGICAL stress , *PAIN measurement , *CHILDREN - Abstract
Pain and stress experienced by the newborn have not been addressed adequately. Infants in neonatal intensive care units often undergo painful and stressful invasive procedures, and inappropriate treatment increases morbidity and mortality. At the 5th Clinical Consensus of the Ibero-American Society of Neonatology, 32 neonatologists from the region were invited to establish recommendations for the diagnosis and treatment of neonatal pain and stress. Key themes were explored based on the best scientific evidence available in indexed databases. All attendees participated actively in a meeting in Santiago, Chile, with the objective of reaching a consensus on recommendations and conclusions. Pain and neonatal stress affect neurological development and long-term behavior and require timely diagnosis and appropriate management and treatment, including the use of drugs with an appropriate balance between effectiveness and toxicity. The Consensus emphasized the importance of assessing pain in the newborn from a multidimensional viewpoint, and provided recommendations on the indications and limitations for an individualized pharmacological therapy. The use of analgesics has precise indications but also important limitations; there is a lack of randomized studies in newborns, and adverse effects need to be considered. Nonpharmacological measures to mitigate pain were proposed. Stress management should begin in the delivery room, including maternal contact, stimulus reduction and the implementation of intervention reduction protocols. Recommendations for improving clinical practices related to neonatal pain and stress are presented. [ABSTRACT FROM AUTHOR] more...
- Published
- 2014
4. Building alliances for improving newborn health in Latin America and the Caribbean.
- Author
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Miller-Petrie, Molly K., Mazia, Goldy, Serpa, Magdalena, Pooley, Bertha, Marshall, Margaret, Meléndez, Carlos, and Vicuña, Marisol
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INFANT mortality , *INTERPROFESSIONAL relations , *INTERVIEWING , *MEDICAL quality control , *HEALTH policy , *QUALITY assurance , *EVALUATION of human services programs , *PREVENTION - Abstract
The regional Latin American and Caribbean (LAC) Neonatal Alliance and national neonatal alliances in Bolivia, El Salvador, and Peru were studied through in-depth interviews and a review of publications. Findings were analyzed to distill successful strategies, structures, and tools for improving neonatal health by working through alliances that can be replicated at the regional or national level. The studies found the following factors were the most critical for successful outcomes from alliance work: inclusion of the Ministry of Health as a leader or primary stakeholder; a committed, diverse, technically expert, and horizontal membership; the presence of champions for neonatal health at the national level; development of a shared work plan based on feasible objectives; the use of shared financing mechanisms; the use of informal and dynamic organizational structures; and a commitment to scientific evidence-based programming. The relationship between the regional and national alliances was found to be mutually beneficial. [ABSTRACT FROM AUTHOR] more...
- Published
- 2014
5. Impacto de la fortificaci¢n de alimentos con cido f¢lico en los defectos del tubo neural en Costa Rica.
- Author
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Argello, Mar¡a de la Paz Barboza and Sol¡s, Lila Mar¡a Umaa
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THERAPEUTIC use of folic acid , *ENRICHED foods , *CONFIDENCE intervals , *INFANT mortality , *NEURAL tube defects , *DISEASE prevalence - Abstract
Objective. Evaluate the impact of the fortification of food with folic acid on prevalence trends for neural tube defects (NTD) and the infant mortality rate (IMR) associated with this disorder in Costa Rica. Methods. The surveillance data from the Congenital Disease Registry Center and the Central American Population Center were analyzed. The neural tube defects considered were anencephaly, spina bifida, and encephalocele. The trends from 1987-2009, as well as the differences in prevalence and mortality rates prior to and up to 12 years after food fortification with folic acid, were examined (95% confidence interval [CI]). The contribution of fortification to the decrease in the overall IMR was determined. Results. During 1987--1997, prior to the period of food fortification with folic acid, NTD prevalence was 12/10 000 births (95% CI: 11.1--12.8), whereas in 2009 prevalence was 5.1/10 000 births (3.3--6.5). The IMR associated with NTD was 0.64/1 000 births (46--0.82) in 1997 and 0.19/1 000 births (0.09--9.3) in 2009. There were significant decreases in the IMR associated with NTD and the prevalence of NTD: 71%, and 58%, respectively (P < 0.05). The overall IMR decreased from 14.2/1 000 births in 1997 to 8.84/1 000 births in 2009 (P < 0.05). The decrease in the IMR associated with NTD contributed to an 8.8% decrease in the overall IMR from 1997 to 2009. Conclusions. Food fortification with folic acid caused a decrease in NTD at birth and the IMR associated with this malformation during the 1997--2009 period. It also led to a decrease in the overall IMR. There is a temporal relationship between the introduction of fortification policies and the decrease in prevalence and mortality associated with NTD. This intervention should be promoted in Latin American and Caribbean countries where it has not yet been implemented. [ABSTRACT FROM AUTHOR] more...
- Published
- 2011
6. Epidemiolog¡a y registro de las cardiopat¡as congnitas en Costa Rica.
- Author
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Benavides-Lara, Adriana, µngel, Jorge Enrique Faerron, Sol¡s, Lila Umaa, and Z£iga, Juan Jos Romero
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CONFIDENCE intervals , *CONGENITAL heart disease , *SCIENTIFIC observation , *RESEARCH , *DISEASE prevalence - Abstract
Objective. Characterize the population of children born with congenital heart disease (CHD) in Costa Rica and evaluate the country's registry processes. Methods. Exploratory observational study that included all children with CHD diagnosed at the National Children's Hospital between 1 May 2006 and 1 May 2007. Considering children under 1 year of age and their respective birth cohort, prevalence was estimated by sex, type of heart disease, age at diagnosis, maternal age, habitual residence, and associated extra-cardiac malformations, with 95% confidence intervals (95% CI). The data was compared with those of the Congenital Disease Registry Center (CREC). Results. During the period studied, 534 cases with CHD were diagnosed. There were 473 cases in children under 1 year of age in a birth cohort of 77 140 children. Prevalence was 0.6% (95% CI: 0.5--0.7). Based on CREC data, it was demonstrated that 71% of the cases were not detected at birth. The average age of diagnosis in infants under 1 year of age was 46.6 days. There were no differences by sex. Prevalence of CHD in children of mothers aged 35 years or over was significantly higher. However, when chromosomal abnormalities were excluded, the risk was no longer statistically significant. The provinces in the country with maritime ports were the areas with the highest risk in children of adolescent mothers. The most common CHDs were ventricular and atrial septal defects, patent ductus arteriosus, pulmonary valve stenosis, atrioventricular septal defects, coarctation of the aorta, and tetralogy of Fallot. Thirty-four percent of the cases of CHD were multiple, 11.2% were associated with chromosomal abnormalities, and 19% had associated congenital malformations. Conclusions. CHD prevalence in Costa Rica is within the range reported globally. Significant under-reporting of CHD was found in the CREC, primarily due to the age criteria applied. The results suggest that maternal age (under 20 and over 34) is a factor associated with CHD. [ABSTRACT FROM AUTHOR] more...
- Published
- 2011
7. Segundo Consenso Clínico de la Sociedad Iberoamericana de Neonatología: manejo hemodinámico del recién nacido.
- Author
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Golombek, Sergio G., Fariña, Diana, Sola, Augusto, Baquero, Hernando, Cabañas, Fernando, Dominguez, Fernando, Fajardo, Carlos, Goldsmit, Gustavo S., Flores, Gabriel Lara, Lee, Mario, Varela, Lourdes Lemus, Mariani, Gonzalo, Miura, Ernani, Pérez, Jose Maria, Zambosco, Guillermo, Pellicer, Adelina, and Bancalari, Eduardo more...
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CHILD welfare , *CONGENITAL heart disease , *CONFERENCES & conventions , *HEMODYNAMICS , *HYPOCALCEMIA , *HYPOTENSION , *PREMATURE infants , *NEONATOLOGY , *PEDIATRICS , *PATHOLOGICAL physiology , *SOCIETIES - Abstract
This study reports on the process and results of the Second Clinical Consensus of the Ibero-American Society of Neonatology. Eighty neonatologists from 23 countries were invited to collaborate and participate in the event. Several questions of clinical-physiological importance in the hemodynamic management of newborns were addressed. Participants were divided into groups to facilitate interaction and teamwork, with instructions to respond to three to five questions by analyzing the literature and local factors. Meeting in Mar del Plata, Argentina, the Consensus Group served as a form for various presentations and discussions. In all, 54 neonatologists from 21 countries attended, with the objective of reaching a consensus on such matters as concepts and definitions of hemodynamic instability, the physiopathology of hemodynamic compromise, recommended therapy strategies, and hemodynamic monitoring. It is hoped that this international experience will serve as a useful initiative for future consensus building and reduction of the existing disparities among the countries of the Region in terms of treatment and outcomes. [ABSTRACT FROM AUTHOR] more...
- Published
- 2011
8. Referencias poblacionales argentinas de peso al nacer segin multiplicidad del parto, sexo y edad gestacional.
- Author
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Urquia, Marcelo Luis, Alazraqui, Marcio, Spinelli, Hugo Guillermo, and Frank, John William
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ANALYSIS of variance , *BIRTH weight , *GENDER identity , *GESTATIONAL age , *PUBLIC health surveillance , *REFERENCE values - Abstract
Objective. To develop new and improved reference birthweights for the Argentine population as a whole with a breakdown by gestational age (GA), sex and multiplicity of birth. Methods. The population studied included all live births resulting from single (n = 3,478,286) and double (n = 57,654) births in Argentina during the period 2003- 2007. The probable errors in classifying GA on the basis of last menstruation were corrected using normal mixture models. The percentiles were obtained by quantile regression, which also made it possible to smooth out the curves. Results. Birthweight curves for single births were obtained between weeks 22 and 43 of gestation, and curves for double births between weeks 24 and 41, with a breakdown by the sex of the neonate. Compared with those of previous studies, these reference birthweights do not overestimate the proportion of live births large for their GA. An increase in birthweight was also observed during the period of study. Conclusions. The proposed curves have the advantages of being based on large numbers, of being representative of the most recent Argentine births, of distinguishing the number of births and the sex of the neonates, and of minimizing GA classification errors. They are therefore a useful tool for measuring inequalities and thus identifying population groups at higher risk of adverse perinatal events. [ABSTRACT FROM AUTHOR] more...
- Published
- 2011
9. VIRUS DE INMUNODEFICIENCIA HUMANA POSITIVO/SIDA EN GESTANTES Y SUS RECIÉN NACIDOS INFANTES. HOSPITAL SERGIO E. BERNALES COMAS: PERIODO 2000 - 2005.
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Pacheco Medina, Charly Andrés
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HIV infection transmission , *HIV-positive women , *NEONATAL diseases , *HIV infections , *PREGNANCY complications , *AIDS in children - Abstract
Objective: The increase in the number of women in fertile age infected by the positive Virus of Human Immunodeficiency/AIDS is accompanied by a parallel increase in the number of infantile cases in which 85% of the pediatric cases all over the world are caused by the perinatal transmission. The present work tries to determine the relation between AIDS virus in pregnant women and their new born-infants. Material and Method: The present work was done in the Hospital Sergio E. Bernales Commas, period 2000 - 2005. The universe was composed by all the pregnant women who were attended in that period. The total number of childbirths was 31.304. The design was descriptive simple, retrospective, non probabilistic, intentional. Results: in this investigation a rate of 0,16% was obtained. It corresponds to pregnant women that suffer of the positive Virus of Human Immunodeficiency/AIDS. 78% of new born children of mothers with VIH+/AIDS suffered of VIH+/AIDS. Conclusion: The main effort is to promote the access of pregnant women to tests of diagnosis and treatment. If pregnant woman is identified as a virus carrier, a protocol is due to apply, that consists of administering specific medicines during the pregnancy to make a caesarean at the time of the childbirth and to control the boy until the year and a half, to make a definitive diagnosis for him. [ABSTRACT FROM AUTHOR] more...
- Published
- 2007
10. FACTORES MATERNOS RELACIONADOS CON EL PARTO PRETÉRMINO Y SU REPERCUSIÓN EN EL NEONATO. HOSPITAL NACIONAL HIPÓLITO UNANUE: 2002-2006.
- Author
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Martinez, Jessica Meza
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PREMATURE labor , *LABOR complications (Obstetrics) , *ABDOMINAL pregnancy , *OBESITY in women , *ASPHYXIA neonatorum ,PREMATURE infant death - Abstract
Objective: preterminal birth is not only an obstetrical problem but also a newborn one, because it is associated with a high index of short and long term morbidity between new born infants; it is the principal cause of newborn morbidity The objective of this study is to determine the maternal facts related to the preterminal birth and its repercussion in the newborn infant. It was done in the National Hospital Hipólito Unanue in Lima, during the period January 2002-December 2006. Material and method: Correlational, descriptive study, retrospective. 285 cases of pregnant women were studied with diagnosis of preterminal birth and their respective newborn infants. Results: maternal facts as multiparity, abdominal childbirth, premature rupture of membranes and a gestational age of 24 to 30 weeks are associated with an increase in the probability of presenting newborn morbidity. As well gestational age of 24 to 30 weeks is associated with the increase on the probability of presenting newborn depression. Also, obesity, great multiparity, gestational age of 24 to 30 weeks are associated to the probability of presenting newborn asphyxiation. Finally, maternal facts as inappropriate prenatal control and gestational age of 24 to 30 weeks are associated to the increase on the probability of presenting newborn mortality, Conclusions: gestational age of 24 to 30 weeks is the more relevant factor in the newborn morbimortality. [ABSTRACT FROM AUTHOR] more...
- Published
- 2007
11. Burden of diarrhea among children in Honduras, 2000-2004: estimates of the role of rotavirus.
- Author
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Solórzano Girón, José Orlando, Molina, Ida Berenice, Turcios-Ruiz, Reina M., Quiroz Mejia, Claudia E., Amendola, Luis Miguel, De Oliveira, Lucia Helena, Andrus, Jon K., Stupp, Paul W., Bresee, Joseph S., and Glass, Roger I. more...
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DIARRHEA in children , *ROTAVIRUSES , *VIRAL vaccines , *PUBLIC health surveillance , *ROTAVIRUS diseases , *MEDICAL care costs , *NEWBORN infants - Abstract
Objectives. To estimate the annual burden of diarrhea and of diarrhea that is associated with rotavirus (RV) in children who are treated at public clinics and hospitals in Honduras. Methods. Data were collected from computerized records of all children < 5 years old treated for diarrhea at clinics and hospitals operated by the Secretary of Health for the period of 2000 through 2004. A review of studies of RV in Honduras and neighboring countries provided estimates of detection rates of RV among children treated for acute diarrhea as outpatients or as inpatients. From these data, we estimated the annual number of cases of diarrhea and of rotavirus-related diarrhea in Honduras, the cumulative incidence of diarrhea and of rotavirus-related diarrhea for a child from birth to age 5 years, and the number of fatalities due to RV among children hospitalized for diarrhea. Results. From 2000 through 2004, a mean of 222 000 clinic visits, 4 390 hospitalizations, and 162 in-hospital deaths due to diarrhea were recorded annually among children < 5 years of age in the public health facilities in Honduras. From our review of scientific literature on Honduras and neighboring countries, an estimated 30% of outpatients and 43% of inpatients who were treated for diarrhea would be expected to have RV. Consequently, we estimated that 66 600 outpatient visits, 1 888 hospitalizations, and 70 in-hospital deaths among children < 5 years in Honduras could be attributed to RV each year. Therefore, a child in the first five years of life has a respective risk for consultation, hospitalization, and in-hospital death of 1:1, 1:46, and 1:1 235 for diarrhea. For an episode associated with RV, the respective risks are 1:3, 1:106, and 1:2 857. These values likely underestimate the true burden of diarrhea in Honduras, since some 51% of children with acute diarrhea do not receive formal care for the illness, 70% do not receive oral rehydration solution, and 80% of diarrheal deaths occur outside of hospitals. Conclusions. Diarrhea is a major cause of illness among children < 5 years old in Honduras, and RV is likely the most common cause. Our preliminary estimates need to be refined so that health planners in Honduras can make decisions on the future use of rotavirus vaccines. A program of hospital-based surveillance for rotavirus in Honduras has been established to address this need. [ABSTRACT FROM AUTHOR] more...
- Published
- 2006
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